Dr. L rules

[giza]

Awhile back in my journal, I had talked about getting some Dental Work done. Part of that was a root canal on a tooth that became abscessed, followed by a crown on the tooth. This is a fairly expensive procedure, and my insurance company decided that it "wasn't medically necessary", and refused to pay for it, to the tune of $963.

Dr. L was not amused. So, he actually sent them the following snail mail, CCed to me:


To Whom It May Concern:

I am asking you to reconsider your rejection of the post and core and porcelain-gold crown on tooth #8 for Douglas Muth. Because of the periapical pathology endodontic therapy was performed on the tooth. He also had a large MFL composite restoration and the tooth was further compromised by the endodontic access. Standard of care dictates that after endodontic therapy, an anterior tooth with a large restoration should be restored with a crown. Not to do so would violate the standard of care and place the tooth in a poorer prognosis. This is the reason the crown was made and UCCI's not paying for it would violate your living up to the standard of care.

If you have any questions, please call me.

Sincerely,

Dr. L, DMD


All I can say is, "daaaaaamn!". What a cool Dentist, not even afraid to tell off the insurance company!

BTW, my dental insurance company is United Concordia. It might be a good idea to not get coverage through them...

Comments

[malamute.livejournal.com]

Hee! Wish I could understand half the stuff he said. *giggle*

He's motivated 'cause he gets to make money from performing the procedure, but at the same time, he's lookin out for your teef 'n stuff. Gruvy :)

I hope the insurance company comes to its senses so you can get it taken care of. *hug*

[randomzen.livejournal.com]

With such poor choices in dental coverage, I would never work for your company!

[unciaa.livejournal.com]

McCoy: This woman has acute post-prandial upper abdominal distension.
[The guards let them enter the operating room]
Kirk: What did you say she had?
McCoy: Cramps.